Customer Name:
Date:
Address:
 City:
 State, Zip:
Phone:
 Fax:
 E-Mail:
Customer Contact Name:
Quantity:
 
SHEAVE INFORMATION
Sheave Diameter:   Wire Rope Size:   Number of Sheaves:
     
BEARING TYPE
Bronze Bushing Roller Bearing
Tapered Roller Bearing Other
  
BLOCK INFORMATION

draw_1.jpg (16710 bytes)

Dimensions:   

A:    B:     C:

Working Load Limit:   
CMAA Rating:    
       
LOWER FITTING TYPE
Single Point Hook
Duplex Hook
 Swivel Hook Latch
 Other
     
APPLICATION INFORMATION
Overhaul Weight Requirements: 
Lead Line Speed:
Environment:
      
SPECIAL REQUIREMENTS
Special Testing:  
Finish:
        
Third Party Inspection/Approval:  
(If 3rd Party Inspection or Approval is required, please refer to page 359.)
 Four Position Locking Mechanism
 Other (Specify)